| Visiting Md, Llc | |
|
15700 Providence Dr Suite 400 Southfield MI 48075-3144 | |
| (248) 233-0659 | |
| Not Available |
| Full Name | Visiting Md, Llc |
|---|---|
| Speciality | General Practice |
| Location | 15700 Providence Dr, Southfield, Michigan |
| Authorized Official Name and Position | Gigi John (CEO/OWNER) |
| Authorized Official Contact | 2484438044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Visiting Md, Llc 24777 Greenfield Rd Suite 101c Southfield MI 48075-3065 Ph: (248) 443-8044 | Visiting Md, Llc 15700 Providence Dr Suite 400 Southfield MI 48075-3144 Ph: (248) 233-0659 |
| NPI Number | 1699025874 |
|---|---|
| Provider Enumeration Date | 09/14/2012 |
| Last Update Date | 09/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699025874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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